<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml"
	xmlns:wicket="http://wicket.apache.org/" xml:lang="en" lang="en">

<head></head>

<body>

	<wicket:extend>
		<table class="table_fields">
			<tr>
				<td width="4%"><label>Data Inicial :</label> <label><strong class="required">*</strong></label></td>
				<td width="15%"><label> <input type="text" class="data" size="10" wicket:id="dataInicial" />
				</label></td>
				<td width="4%"><label>Data Final: </label><label><strong class="required">*</strong></label></td>
				<td width="15%"><label> <input type="text" class="data" size="10" wicket:id="dataFinal" />
				</label></td>
				<td width="4%"><label>Hora Inicial:</label></td>
				<td width="15%"><input type="text" wicket:id="horarioStart" class="numero_inteiro" size="12" /></td>
				<td width="4%"><label>Hora Final:</label></td>
				<td width="15%"><input type="text" wicket:id="horarioEnd" class="numero_inteiro" size="12" /></td>
			</tr>
			<tr>
				<td width="2%"><label>Sistema:</label></td>
				<td width="15%"><input type="text" wicket:id="hydraSystem" size="20" /></td>
				<td width="2%"><label>Status:</label></td>
				<td width="15%"><select wicket:id="status"/></td>
				<td width="2%"><label>Tipo Requisição:</label></td>
				<td width="15%"><select wicket:id="requestType"/></td>
				<td colspan="2">&nbsp;</td>
			</tr>
		</table>
	</wicket:extend>
</body>
</html>